Evidence map›Paper›PMID 31957269›Full record

Trial reportCancer medicine2020

A randomized trial of nurse-administered behavioral interventions to manage anticipatory nausea and vomiting in chemotherapy.

Jonathan J Hunter, Robert G Maunder, Dawen Sui, Mary Jane Esplen, Alejandro Chaoul, Michael J Fisch, Roland L Bassett, Marlys M Harden-Harrison, Lore Lagrone, Lucas Wong and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Specialist breast care nurses for support of women with breast cancer.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Therapeutic potential of twenty-first century music for cancer survivorship: from music and conceptual metaphor perspectives to a synergetic effect approach.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  11. Article
  12. Review
  13. Observational
  14. Evaluation of music therapy to reduce stress in hospitalized cats.Journal of feline medicine and surgery · 2022
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 3 countries.

Jonathan J HunterSinai Health System, The University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-5684-0867
Robert G MaunderSinai Health System, The University of Toronto, Toronto, ON, Canada.
Dawen SuiDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Mary Jane EsplenPrincess Margaret Cancer Centre, de Souza Institute, Toronto, ON, Canada.
Alejandro ChaoulDepartment of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Michael J FischDepartment of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Roland L BassettDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Marlys M Harden-HarrisonDepartment of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Lore LagroneDepartment of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Lucas WongBaylor Scott and White Health, Temple, TX, USA.
Luis Baez-DiazPuerto Rico MUNCORP, San Juan, PR, USA.
Lorenzo CohenDepartment of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
The University of Texas MD Anderson Cancer Center · USUniversity of Toronto · CABaylor Scott & White Health · USPrincess Margaret Cancer Centre · CAPuerto Rico Department of Health · PR

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
UT MD Anderson Research Base - Foreign AccrualU10CA045809 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI WOLFF, ROBERT · 1987 to 2013
$21.3M
NCI NIH HHS P30 CA016672NCI NIH HHS U10 CA045809
6 · The paper itself

Abstract

purposeChemotherapy side effects diminish quality of life and can lead to treatment delay. Nausea and vomiting can occur prior to chemotherapy because of classical conditioning. We studied the effects of 20-minute behavioral interventions, administered by oncology nurses, of higher intensity (mindfulness relaxation-MR) or lower intensity (relaxing music-RM), on anticipatory nausea and vomiting (ANV). PATIENTS AND

methodsPatients undergoing chemotherapy for solid tumors were randomized to MR (N = 160), RM (N = 159), or standard care SC (N = 155). Subjects were mostly female (91.8%) and white (86.1%) with breast cancer (85%). Most patients had early stage disease (Stage I: 26%; II: 52.9%; III: 19%; IV: 0.1%). Anticipatory nausea and vomiting were assessed at the midpoint and end of the chemotherapy course using the Morrow Assessment of Nausea and Emesis (MANE).

resultsCompared to SC, there was reduced anticipatory nausea at the midpoint of chemotherapy in those receiving MR (OR 0.44, 95% CI 0.20-0.93) and RM (OR 0.40, 95% CI 0.20-0.93), controlling for age, sex, cancer stage, and emetogenic level of chemotherapy. There was no difference between treatment groups in anticipatory nausea at the end of chemotherapy or in anticipatory vomiting and postchemotherapy nausea and vomiting at either time point.

conclusionA brief nurse-delivered behavioral intervention can reduce midpoint ANV associated with chemotherapy.

Indexed as

AdultAntineoplastic AgentsConditioning, ClassicalFemaleHumansMaleMiddle AgedMindfulnessNauseaNeoplasmsNeoplasm StagingNursing CareQuality of LifeTreatment OutcomeVomiting, AnticipatoryYoung AdultAntineoplastic Agentsclassical conditioning/music therapy/relaxation therapynausea/vomiting/anticipatory nausea

Identifiers

PMID31957269
PMCPMC7050098
OpenAlexW3002509765

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.